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��f ST Marrtell oacurngryt tlri .° ? i"aoe�. M>igtrtt�ton h the tftiadrtd ategll <br /> rJ6 EPA V <br /> WASTE AS E MANIFESTi -r I cI f I _ or ^ot svttd M Faf1KY for <br /> 14, NA, 94C <br /> lei <br /> 4Gene,atorsPhorw� <br /> s.IZ-porter i Company Nana d US EPA 10 Ntxnbet <br /> Allied Aetruieuw CIA, >7 51 $ 7ti1 ZI <br /> � ��r1�c�iarxPxltxlq <br /> 7.Tral%P- er 2 Company Name <br /> 0.LLS EPA ID Nytaaet <br /> I I 1 1 f I I I I I U F ira e!s Floris ¢ <br /> ryy <br /> la 1S EPA1D NlxrlbW s 1 { 4,' }3 <br /> 1:331 6 hWV 33 Pott%rSVl1 1 f <br /> Go <br /> i 1 <br /> i.US DOT Detertptbn O-Lelr,p ProperSft 12.ContoYien l;iota' 14 tkrR f - e7. <br /> IpPirp tW7rtu,}ted Clot$and ID N�rtteeA No. T Ouord wtivd LYHorf� <br /> _J <br /> o tVurnhes <br /> U <br /> E <br /> C-1 b6 <br /> Q /f, i s i <br /> fJ <br /> z T a <br /> 0 <br /> J Agtlr;ronal�@ip+!Ptnr$ITafIP <br /> _. r }y -,. Al�orf► , ' -t ''- �d{�� r w, 'n �'i �,- fdf- Arte) P41 Abovq , - <br />'CQ^5� :�lJ� till; ►#f > W �Mf} < o r •,.1}+o-�9.Sa -v y +-'n }-,�. fi x t 4:1i- <br /> �{. fr`+{ <br /> iU 1,-k.Spec <br /> 'r' t <br /> iz OcSIG&AkU FACILITY EPA:-"—"Y 'COXTACT.-O (WO)U74-4444- <br /> 0 iiListii1�34e4 £i-�tktxEtCYNT 11(•�( I '„ .�. � <br />'� <br />',Z I& GFNERATOpi CEYIIFICAAON: I hereby declare that the content$of thlF conllpfmard are July artd occu,aleN de$citmil abow by proper shl h*V runt's aW are cAmWlea <br /> O Paces narked.and tobeled.and aro in al raped$n propet omWOYon for lnXvPi;d by highway acao,dnq t!applicabip Vftff W Wfxi mg+xitWO 9owwrnwf h*9oa1bm <br /> Q 9 1 am a large quantity genwator.I cedlyr that I have o program in place to teduce the yokme and todcpy of wart*generallI to the degree I havq geteanird to be <br /> Lz econorrrcaty practbaole and that I hom sefeded the procticabb method of treotmerrt.storage.or di pa cur»nthy ov Wapp to m&wimboh rnhio*m no presera mW fuiture <br />'W thred to turnon heath and the etivkonmenl:OR If f am a trnol gsanWV gwwxlW.I hom fade 4 Qovd tg111 r'�lotj!,o QnO rgleCt the gent wale <br /> r +nonoo irrmt nwtfod tW i Uvalobb to me and Mgt I ran*Yard <br /> r <br /> U Printed/Typed No" Spnature �' �IAQrtltt' lapy _ Year <br /> I le1I I It <br /> N T 17.Trorksponer 1 Acknowledgenrnf of ReCeipt of Materiott ,f <br /> O R Printedgyped Nome Mantra . J7ay Year <br /> U N Ll <br /> Gf <br /> 0 P1f . <br /> m <br /> c O 1&Transporter 2 At t of Pe of Materials - - - <br /> Z* R pmwflY1Md Nan- '{IQrgl1N>f i( MAIM,', Liar `k• . Year <br /> v+ r <br /> R <br /> u' F 19.D.a I `: <br /> Q ep-Cy rtd Okx%Space <br /> z C ' <br /> L i! - <br /> I 20.Facility Owrwr of Operator CettYicafion of receipt of himomout mate rYa4 covered by this mantfe$t except cm not in tlem 19. ' <br />` T Prrnedlryped Nom. utft <br /> li +h�irlf�.. : cbr •rpaF <br /> Y ,... . <br /> DO NOT WRITE MOW Tlil LINE, <br /> t <br /> Ori t1LT17AA2/9W . <br /> EPA WOO-22 SRA �/NS <br /> j T; <br />